目的 分析不同特征的住院医师规范化培训(简称住培)学员对住培工作的满意度,提出改进建议,为相关研究提供参考。方法 2019年1月,采用半开放式问卷调查方法,对2015年至2018年北京市某综合性三级甲等医院186名住培学员进行满意度调查,通过χ²检验、logistic 回归等方法分析住培学员满意度。结果 住培学员对培训基地的总满意度为89.8%(167/186);在读专业学位硕士研究生的总满意度[78.0% (39/50)]低于委托培训人员[94.4%(84/89)] (χ²=4.013,P＜0.01)和自主培训人员[93.6%(44/47)] (χ²=4.784,P=0.029),其差异均具有统计学意义;非手术科室住培学员的总满意度[75.8%(25/33)]低于医技科室住培学员[92.6%(63/68)],其差异具有统计学意义(χ²=4.246,P=0.039);月均收入3 000元以上学员满意的可能性是月均收入3 000元及以下学员的5.649倍(OR=5.649,95%CI=1.022~31.238)。结论 住培学员对培训基地的总满意度较高,可以通过关注不同身份归属和不同培训专业学员的需求,提高其薪酬待遇,解决存在的问题,提高住培学员的满意度。

Objective To investigate the satisfaction of standardized residents' trainees with different background , and puts forward suggestions for improvement, so as to provide reference for relevant research. Methods In January 2019, a semi-open questionnaire survey was conducted to 186 resident trainees in a third-grade comprehensive hospital in Beijing from 2015 to 2018. The results were analyzed by chi-square test, logistic regression and other methods. Results The total satisfaction of resident trainees to the training base institution was 89.8% (167/186); the total satisfaction of master's degree students 78.0% (39/50) was lower than that of commissioned training 94.4%(84/89) (χ²=4.013,P＜0.01)and self-training residents 93.6%(44/47)(χ²=4.784,P=0.029),the differences were statistically significant; the total satisfaction of the patients in non-surgical departments 75.8%(25/33) was lower than that in medical technology departments 92.6%(63/68), the differences were statistically significant(χ²=4.246,P=0.039). The total satisfaction of residents' trainees with an average monthly income of more than 3 000 yuan is 5.649 times that ofresidents' trainees with an average monthly income of less than 3 000 yuan (OR=5.649,95%CI=1.022~31.238). Conclusions The overall satisfaction of resident trainees to the training base institution was high, and can be further improved by paying attention to the different status and majors of the residents,solving the existing problems and increase their salary.